Active NPI
Haley G Shiarella
- Physician Assistant
- Georgetown, KY
National Provider Identifier
1285518266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1138 Lexington Rd Ste 110
Georgetown, KY 40324-9673 - Phone
- (502) 570-3754
- Fax
- (502) 570-3756
- NPI assigned
- Aug 4, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary | ||
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1138 Lexington Rd Ste 110
Georgetown, KY 40324-9673
Mailing address
404 Shoppers Dr
Winchester, KY 40391-1378
Phone (859) 737-5333
Other practice location 1
5 Linville Dr Ste 102
Paris, KY 40361-2165
Phone (502) 570-3754
Other practice location 2
404 Shoppers Dr
Winchester, KY 40391-1378
Phone (859) 737-5333
Other practice location 3
360 Amsden Ave Ste 400
Versailles, KY 40383-1855
Phone (859) 737-5333
Other practice location 4
235 Boggs Ln Ste 7
Richmond, KY 40475-3325
Phone (859) 625-9959
Other names 1
- Haley Risinger
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1285518266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 SHOPPERS DR",
"city": "WINCHESTER",
"state": "KY",
"postal_code": "403911378",
"telephone_number": "859-737-5333",
"fax_number": "859-737-0070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1138 LEXINGTON RD STE 110",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403249673",
"telephone_number": "502-570-3754",
"fax_number": "502-570-3756"
}
],
"practiceLocations": [
{
"address_1": "5 Linville Dr Ste 102",
"address_purpose": "LOCATION",
"city": "Paris",
"state": "KY",
"postal_code": "403612165",
"country_code": "US",
"telephone_number": "502-570-3754",
"fax_number": "502-570-3756",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "404 Shoppers Dr",
"address_purpose": "LOCATION",
"city": "Winchester",
"state": "KY",
"postal_code": "403911378",
"country_code": "US",
"telephone_number": "859-737-5333",
"fax_number": "859-737-0070",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "360 Amsden Ave Ste 400",
"address_purpose": "LOCATION",
"city": "Versailles",
"state": "KY",
"postal_code": "403831855",
"country_code": "US",
"telephone_number": "859-737-5333",
"fax_number": "859-737-0070",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "235 Boggs Ln Ste 7",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "KY",
"postal_code": "404753325",
"country_code": "US",
"telephone_number": "859-625-9959",
"fax_number": "859-625-9958",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHIARELLA",
"first_name": "HALEY",
"middle_name": "G",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-04",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HALEY",
"last_name": "RISINGER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Georgetown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.